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HomeMy WebLinkAboutCertificate of Compliance - 295 REA STREET 10/9/2012 s ° • PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CE-Kr" TIFICATE """'F COMPLIANCE As of: October 9, 2012 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair and Construction of an On-Site i 9 Todd Bateson At: Map 38 Lot 34 295 Rea Street North Andover, MA 01845 The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Susan Y. Sawyer, REHS/RS Public Health Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8416 Web www.townofnorthondover.com TOWN OF NORTH ANDOVER , w0 TH « Office of COMMUNITY DEVELOPMENT AND SERVICES a: •'� '•°gip HEALTH DEPARTMENT f/G OSGOOD STREET >'y NORTH ANDOVER, \vlASSACH[ SETTS 01845 'ss US�t� 978.688.9540—Phone Susan Y. Sawyer, REHS/RS 978.688.8476—FAX Public Health Director E-MAIL: healthdept,�ztownofnorthandover.com W EBSITE: http:',ww-w.townofnorthandover.com TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM - INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System/�constructed; ( ) repaired; by (Print Name) located at q WA Aaf--r (Installation Address) was installed in conformance with the North Andover Board of Health approved plan, originally dated and last Revised on t0,0 with a design flow of gallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CMR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As-b 'Wws bee submitted to the Board of Health. Bed inspection date: Engineer de nt (Signature) And- Print Na e Final inspection date: Enginee yi-Od r t' ' (Signature) X, JAMAr� And-Print Name Installer: (Signature) Date: And- Print Name Engineer: _(Signature) Date: / Jo�rjo And-Print Name Sullivan Engineering Group, LLC Civil Engineers c Land Development Consultants I ,D September 27, 2012. Town of North Andover � ���'�'�� 'k� l io�( Health Dept—c/o Sue Sawyer 1.600 Osgood Street North Andover, MA 01845 Re: 295 Rea Street ('Tax Map 38 Parcel 3 ) Septic As-Built Susan; Enclosed are two (2) copies of the Septic As-Built plan for the above property for your records. If you need me to come into the office to sign the installers certificate just let me know. Very Truly Yours, Jack Sullivan, P.E. 22 Mount Vernon Road — Boxford,Massachusetts 01921 — (978)352-7871-Phone — 978 352-7871 -Fax North Andover Health Department Community Development Division QNSITE WASTEWATER SYSTEM N T UCTI NOTES LOCATION INFORMATION ADDRESS: 295 Rea Street MAP: LOT: INSTALLER: Bateson Bros DESIGNER: Sullivan Engineer PLAN DATE: 2-1-12 BOH APPROVAL DATE ON PLANA-26-12 INSPECTIONS TANK INSPECTION: 8-27-12 DATE OF BED BOTTOM INSPECTION:8-27-12 DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑ Contractor reports any changes to design plan ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: SEPTIC TANK ❑ Building sewer in continuous grade, on compacted firm base ❑ Cleanouts per plan X Bottom of tank hole has 6" stone base X Weep hole plugged X 1500 gallon tank has been installed loading X Monolithic tank construction ❑ Water tightness of tank has been achieved by testing ❑ Inlet tee installed, centered under access port ❑ Outlet tee installed, centered under access port (gas baffle/effluent filter) ❑ inch cover to within 6" of final grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon Pump Chamber installed ❑ loading ❑ Monolithic tank construction ❑ Inlet tee installed, centered under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off floats working ❑ Separate on/off floats ❑ Drain hole in pressure line ❑ cover at final grade installed over pump access port ❑ Water tightness of tank has been achieved by testing Comments: El Hydraulic cement around inlet & outlet CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: basement ❑ Alarm signal located inside: basement Comments: DISTRIBUTION-BOX ❑ Installed on stable stone base ❑ H-20 D-Box ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM (General) X Bottom of SAS excavated down to C soil layer, as provided on plan X Size of SAS excavated as per plan X Title 5 sand installed, if specified on plan ❑ 40 Mil HDPE barrier installed ❑ Laterals installed and ends connected to header (and vented if impervious material above) ❑ Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: Remove larger rocks. 351 x 27'W x 36"D 11 Feet from house SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ❑ Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ❑ Number of chambers per row: ❑ Number of rows (trenches): Comments: Total Chambers = BM = HR = HI = SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT Lateral 1 TOP Lateral 1 INVERT Lateral 2 TOP Lateral 2 INVERT Lateral 3 TOP Lateral 3 INVERT Lateral 4 TOP Lateral 4 INVERT Lateral 5 TOP Lateral 5 INVERT Lateral 6 TOP Lateral 6 INVERT Top of Chamber Bottom of Bed/Chamber CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ® Inground pool 10 20 -- ® Slab foundation 10 10 -- ® Deck, on footings, etc 5 10 -- ® Waterline 10 10 10' ® Private drinking well 75 1002 50 ® Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Bank 75 100 ® Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ® Trib. to surface water supply 325 325 ® Public well 400 400 ® Interim Wellhead Prot. Area ® Reservoirs 400 400 ® Drains (wat. supply/trib.) 50 100 ® Drains (intercept g.w.) 25 50 ® Drains (Other)Foundation 10(5) 20(10) ® Drywells 20 25 Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws